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PERRY MEMORIAL PODIATRY CLINIC
NPI 1407028780
Clinic/Center - Multi-Specialty in Princeton, IL

Active since March 27, 2008
530 PARK AVE E STE 306, PRINCETON, IL 61356(815) 876-3033(815) 876-3003 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, Mar 17, 2020 (2 updates tracked since 2020).

About Perry Memorial Podiatry Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERRY MEMORIAL PODIATRY CLINIC (NPI 1407028780) is a healthcare organization registered as a multi-specialty in Princeton, Illinois and active in the NPI registry since March 2008. The organization maintains a secondary practice location in Princeton and lists Jean Welte, Medical Staff Services Coordinator, as its authorized official.

NPPES Registry Identity

NPI1407028780
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJULIA RACKLEY PERRY MEMORIAL HOSPITAL
Location Address530 PARK AVE E STE 306Princeton, IL 61356-3903
Mailing Address530 Park Ave EPrinceton, IL 61356-3901 · (815) 875-2811
Phone(815) 876-3033
Fax(815) 876-3003
Organization SubpartYes
Authorized OfficialJean WelteMedical Staff Services Coordinator · (815) 876-2293
Enumeration DateMarch 27, 2008
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1407028780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
530 PARK AVE E STE 306, Princeton, IL 61356
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Other Names 2

Doing Business AsPerry Memorial Podiatry Clinic
Doing Business AsPerry Memorial Orthopedic & Sports Medicine

Secondary Practice Location 1

Location 1530 Park Ave E Ste 202Princeton, IL 61356-3902 · Phone (815) 872-3034 · Fax (815) 872-3019

Other Identifiers 1

Medicaid1407028780IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN UYEN VAN MD
Orthopaedic Surgery
530 PARK AVE E STE 306
PRINCETON, IL 61356
Bureau County (815) 876-3033
DR. MICHAEL H BERKSON M.D.
Orthopaedic Surgery
530 PARK AVE E STE 306
PRINCETON, IL 61356
Bureau County (815) 876-3099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julia Rackley Perry Memorial Hospital's NPI number?

The NPI number for Julia Rackley Perry Memorial Hospital is 1407028780. It was assigned to this organization in the NPPES registry on March 27, 2008. The provider is doing business as Perry Memorial Podiatry Clinic and Perry Memorial Orthopedic & Sports Medicine.

Where is Julia Rackley Perry Memorial Hospital located?

Julia Rackley Perry Memorial Hospital is located at 530 Park Ave E Ste 306, Princeton, IL 61356. The listed phone number is (815) 876-3033.

What is Julia Rackley Perry Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Julia Rackley Perry Memorial Hospital was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.